Individual
SUSAN ELAINE CAPPELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7597 ATTALA ROAD 5216, KOSCIUSKO, MS 39090-6401
(601) 416-5715
Mailing address
7597 ATTALA ROAD 5216, KOSCIUSKO, MS 39090-6401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3473
MS
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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